OBEDIUM WELLNESS & ASSOCIATES LLC NPI 1255795035

NPI Information

NPI: 1255795035
Provider Name: OBEDIUM WELLNESS & ASSOCIATES LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
7312 S CLYDE AVE
CHICAGO, IL
ZIP 60649
Phone: (312) 286-7108
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OBEDIUM WELLNESS & ASSOCIATES LLC is a family nurse practitioner in Chicago, IL. OBEDIUM WELLNESS & ASSOCIATES LLC NPI is 1255795035. The provider is registered as an organization entity type.

The provider's business location address is:

7312 S CLYDE AVE
CHICAGO, IL
ZIP 60649-109
Phone: (312) 286-7108

The provider's authorized official is Cynthia Hammond .
The authorized official title is Ceo and has the following contact phone number (312) 286-7108.

The enumeration date for this NPI number is 4/7/2016 and was last updated on 4/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251B00000X	Case Management		209013119	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209013119	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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